</sourceAttachment><regulatoryBasis><coding><system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/><code value="INFA"/></coding></regulatoryBasis><verification><verified value="true"/><verifiedBy><reference value="Organization/f001"/></verifiedBy><verifiedWith><reference value="RelatedPerson/benedicte"/></verifiedWith><date value="2021-11-11"/></verification><decision value="permit"/><provision><actor><role><coding><system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/><code value="PRCP"/></coding></role><reference><reference value="Practitioner/f204"/><display value="Carla Espinosa"/></reference></actor><action><coding><system value="http://terminology.hl7.org/CodeSystem/consentaction"/><code value="access"/></coding></action><action><coding><system value="http://terminology.hl7.org/CodeSystem/consentaction"/><code value="correct"/></coding></action></provision></Consent>

The following scenario is based on existing jurisdictional policy and are realized in existing systems in Canada. The default policy is one of implied consent for the provision of care, so these scenarios all deal with withdrawal or withholding consent for that purpose.

specific to use-case 4) Withhold or withdraw consent for disclosure to a specific provider agent (an individual within an organization)

Patient "Eve Everywoman"'s ex-spouse, Carla Espinosa is a Nurse that is employed by Burgers University Medical Center. Eve realizes that she may receive treatment at BUMC, however she does not want her ex-spouse to have any access to her IIHI. She indicates that she would like to withdraw/withhold consent to disclose any instance of her health information to her ex-spouse as a result of her ex's employment at Burgers University Medical Center.